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1659856706
ELIZABETH DEAVILLA
CHICAGO, IL
NPI
1659856706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.005357)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
Mrs. ELIZABETH DEAVILLA RDN, LDN
6912 N. LAKEWOOD AVE APT 1E
CHICAGO, IL 60626-6062
Phone number: 847-477-6467
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Mailing Address
Mrs. ELIZABETH DEAVILLA RDN, LDN
6912 N LAKEWOOD AVE APT 1E
CHICAGO, IL 60626-3779
Phone number: 847-477-6467
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